Individual
OLIVER WILLIAM FANNIN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 E 15TH ST, AUSTIN, TX 78701-1930
(512) 324-7000
Mailing address
807 CEDAR PARK DR, AUSTIN, TX 78746-4517
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
J7324
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138853023
—
TX
01
—
138853024
CIDC
TX
01
—
8Y0017
BCBS OF TX
TX
Enumeration date
04/20/2006
Last updated
06/25/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us